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To view a copy of this licence, visit About this article Cite this article Yang, J., He, J

People taking heartburn medication, such as proton pump inhibitors, are at a higher risk for B12 deficiency and may benefit from alternative therapies to control/eliminate the heartburn or have regular Nutrient IV therapies and/or Vitamin B12 injections Elderly Vegans Vegetarians People with tapeworms Alcoholics Excessive use of antibiotics Excessive use of anti-convulsant medication Daily consumption of Aspirin may increase the risk for vitamin B12 deficiency

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13 In the current study, in Group B (derma roller with copper peptide) patients with Fitzpatrick skin type 5 had a greater decline compared to those patients with Fitzpatrick skin type 5 in Group A (dermaroller monotherapy), suggesting faster response in darker skin tones

Avoid dairy, high-fiber foods, and caffeine during acute episodes